# CHEYENNE REGIONAL PHYSICIANS GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRMG Endocrinology & Diabetes Education
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386303915
- **Authorized official:** BRAD WHITE (PROVIDER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (307) 633-6198

## Contact information

- **Practice address:** 800 E 20TH ST STE 230, CHEYENNE, WY 82001-3869
- **Practice address phone:** (307) 996-4770
- **Practice address fax:** (307) 638-8851
- **Mailing address:** PO BOX 20970, CHEYENNE, WY 82003-7020
- **Mailing address phone:** (307) 996-4770
- **Mailing address fax:** (307) 638-8851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2021
- **Last updated:** 07/03/2026